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Journal article
Interest in Digital Peer-Delivered Interventions and Preferences to Improve Pain Self-efficacy and Reduce Loneliness Among Patients With Chronic Pain: Mixed Methods Co-design Study
JMIR Formative Research, Vol.7, pp.1-14
2023
PMID: 37058351
Abstract
Background:
Two important factors that prolong and exacerbate chronic noncancer pain (CNCP) and disability are low pain self-efficacy and loneliness. Yet, few interventions have shown long-term sustained improvements in pain self-efficacy, and there are no evidence-based treatments that target social connectedness in people living with CNCP. More effective and accessible interventions designed to target self-efficacy and social connectedness could ease the burden of CNCP.
Objective:
To co-design accessible interventions to increase pain self-efficacy, social connection, pain-related outcomes, and quality of life, this study explored patients’ interest and preferences for digital peer-delivered interventions for CNCP as well as implementation barriers and enablers.
Methods:
This cross-sectional mixed methods study was part of a larger longitudinal cohort study. Adult Australian residents (N=186) with CNCP diagnosed by a medical professional or pain specialist were included. Participants were initially recruited through advertising on professional pain social media accounts and websites. Questions examined whether patients were interested in digital peer-delivered interventions and their preferences for specific features (eg, Newsfeed). Pain self-efficacy and loneliness were assessed using validated questionnaires, and the association between these factors and interest in digital peer-delivered support was explored. Open-ended questions explored implementation barriers, enablers, and suggestions for consideration in intervention design.
Results:
There was interest in accessing digital peer-delivered interventions, with almost half of the sample indicating that they would access it if it was available. Those who indicated an interest in digital peer interventions reported both lower pain self-efficacy and greater loneliness than those who were not interested. Intervention content that incorporated education, links to health services and resources, and delivery of support by peer coaches were the most frequently preferred intervention features. Three potential benefits were identified: shared experience, social connection, and shared pain management solutions. Five potential barriers were identified: negative focus on pain, judgment, lack of engagement, negative impact on mental health, privacy and security concerns, and unmet personal preferences. Finally, there were 8 suggestions from participants: moderation of the group, interest subgroups, professional-led activities, psychological strategies, links to professional pain resources, newsletter, motivational content, live streaming, and online meetups.
Conclusions:
Digital peer-delivered interventions were of particular interest to those with CNCP who had lower levels of pain self-efficacy and higher levels of loneliness. Future co-design work could tailor digital peer-delivered interventions to these unmet needs. Intervention preferences and implementation barriers and enablers identified in this study could guide further co-design and the development of such interventions.
Details
- Title
- Interest in Digital Peer-Delivered Interventions and Preferences to Improve Pain Self-efficacy and Reduce Loneliness Among Patients With Chronic Pain: Mixed Methods Co-design Study
- Authors
- Eloise Yates (Author) - The University of QueenslandLisa Buckley (Author) - The University of QueenslandMichele Sterling (Author) - The University of QueenslandTegan Cruwys (Author) - Australian National UniversityClaire E Ashton-James (Author) - The University of SydneyRenee Rankin (Author) - Australian Pain Management Association Ltd.Rachel A Elphinston (Corresponding Author) - Metro South Health
- Publication details
- JMIR Formative Research, Vol.7, pp.1-14
- Publisher
- JMIR Publications, Inc.
- Date published
- 2023
- DOI
- 10.2196/41211
- ISSN
- 2561-326X
- PMID
- 37058351
- Copyright note
- ©Eloise Yates, Lisa Buckley, Michele Sterling, Tegan Cruwys, Claire E Ashton-James, Renee Rankin, Rachel A Elphinston. Originally published in JMIR Formative Research (https://formative.jmir.org), 14.04.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
- Data Availability
- Data access is restricted by our ethics protocol; however, the data sets generated during and analyzed during this study may be available from the corresponding author on reasonable request.
- Organisation Unit
- Road Safety Research Collaboration; School of Law and Society
- Language
- English
- Record Identifier
- 991003698902621
- Output Type
- Journal article
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